Healthcare Provider Details

I. General information

NPI: 1831014281
Provider Name (Legal Business Name): MEGAN HAMAKER CEP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 SUNSET DR APT 54
LONGMONT CO
80501-7506
US

IV. Provider business mailing address

2540 SUNSET DR APT 54
LONGMONT CO
80501-7506
US

V. Phone/Fax

Practice location:
  • Phone: 720-718-5420
  • Fax: 720-718-5988
Mailing address:
  • Phone: 720-718-5420
  • Fax: 720-718-5988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number2004019
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: